Active NPI
Parul Mittal
- Physical Therapist
- Bloomfield Hills, MI
National Provider Identifier
1548475015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501012619
- Practice address
- 2975 N Adams Rd
Bloomfield Hills, MI 48304-3786 - Phone
- (248) 645-2900
- NPI assigned
- May 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501012619 | MI | Primary |
Addresses
Primary practice location
2975 N Adams Rd
Bloomfield Hills, MI 48304-3786
Mailing address
3059 Honor Dr
Rochester Hills, MI 48309-4013
Phone (248) 778-5910
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3059 Honor Dr
Rochester Hills, MI 48309-4013
851 Penniman Ave
Plymouth, MI 48170-1621
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501012619 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tmi East, Inc. | Current | Accepting new patients |
Locations
851 Penniman Ave
Plymouth, MI 48170
Phone (248) 349-9595
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351468800000",
"number": "1548475015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3059 HONOR DR",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483094013",
"telephone_number": "248-778-5910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2975 N ADAMS RD",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483043786",
"telephone_number": "248-645-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITTAL",
"first_name": "PARUL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-10",
"last_updated": "2012-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501012619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomfield Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.